EquestrianRN

My husband is making the boom town trek to Williston, N D in the next few weeks...I'm staying here for about six months until he gets settled in a job and his plan is to camp out while job hunting, then live in a "man camp" for a while, saving all of...

My direct supervisor, at 35, is four years younger than I, has two children under age three and went from LPN school, worked as an LPN for seven years and then earned her BSN, got a supervisory position, has a happy marriage, a well-off lifestyle, an...

I worked night shift, 11p-7a for FIVE YEARS. WITH two small (grade school through middle school) kids, a very ill husband who required help with everything except childcare overnight while the boys were asleep, and as the lone charge/staff/licensed p...

Honestly? Once you get to that "place" with a manager for whatever reason, sometimes it is truly just best to walk away...As Tewdels said, there can be a million reasons that a manager chooses to treat you that way and rarely does it have anything t...

Absolutely agreed with all above. Push the teamwork angle. I say this because it is true, you MUST BE A TEAM! Remind her, in private and respectfully, that in order for you each to provide pts with the best care possible, you simply MUST WORK TOGETHE...

About 95%of our pts are taken on by our medical director at time of admission onto hospice services. I suppose we are very lucky, as she is tremendously knowledgeable not only about palliative TX modalities, but also about the ever most random, unexp...

Arizona... Inpatient hospice unit, full-time day shift, (3 12's/week) with 16+ years exp (though returning from psych to hospice with a five year break since last working hospice = they get to start me LOOOOW)= $30/h; full-benefits at a "reasonable...

Excellent comment above by "Goals in Transition"...I couldn't agree more! One major thing that hospice nursing has taught me: The sort of people whom we truly enjoy taking care of as patients are the ones whom even in death teach us the most about li...

We have a ten bed unit staffed with ONE RN and one HHA for up to seven pt's...if we have more pt's (8-10), we are given an additional LPN. USUALLY agency, usually hasn't been there prior, and legally, cannot perform admissions, obviously. Interesting...

As a hospice RN, I actually can appreciate how the overuse of "debility" is viewed. It really IS too general. It is a syndrome, certainly, and not a "disease", as it were. I have faced the same issues (obviously) regarding Medicare and their distast...

Yes, I prefer that sort of delineation myself...gives the nurse some freedom but also lets you know before you've run through your MAX for that patient (in meds that have no outlined "ceiling", such as opiates (& UNLIKE APAP!), while setting exac...

Ok, here we go...just think, this COULD be fun!! :0) As a 15 year-practicing, highly experienced RN, with a background in a multitude of specialty areas, I have come across a nurse manager who has a belief about PRN order interpretation, which is wel...

I could not agree more with your comments! Nurses, as a highly driven group of professional "perfectionists" (certainly a generalization, but I believe a true one, after having observed this in myself and my co-workers for my 15 years in the field), ...

Very good points, QueenJulie and Liveyourlife! We obviously have some excellent "critically thinking" nurses out there... I have often wondered these days, when, of the "new grads" coming through my facility; one-third are PHENOMENAL and they absolut...

The consensus thus far, as I see it, is that for OBVIOUS REASONS, TID is not often, or ever really, anymore, used for PRNs! And as a few have stated, computerized MARs are written by pharmacists to take any potential "guesswork" out of the times to a...

Simply guessing here, but I'm thinking that when the OP stated she didn't even know she did it, (hung up on the provider), what she may have intended to say was that she perhaps had either answered the phone, MD was on the line, and perhaps the RN co...

First, I adore your "handle"...Hygeine Queen totally rocks! :0) Second, thank you for your input-very much appreciated! This is how I see a T.I.D order as well; "technically", & probably legally, (as long as the client is not sedated, has approp...

Jtay,You've certainly got a good head on your shoulders, and you have gotten some great advice from other members here...it's really nice to see that you are considering all of this. Navigating the waters of the first few years of one's career can be...

Apologies for typos above/odd word insertion, punctuation oddities, etc...! This "Smart phone" isn't proving too "smart" using "Swype" typing program, and I unfortunately didn't have time to proofread tonight. Again, if a word seems off, insert best ...

I am a mental health nurse, and this is what I have come to believe: A bit of history...after (currently) working five years in level one psych (highest acuity in this state/locked unit/independently standing, so no in-house medical resources, etc......

First I must give props!...Absolutely LOVED the poster who commented about caring for residents for a month and never having actually SEEN them...:rolleyes:I work acute inpatient psych...we have clients here for about a 7-14 day stay, on average. Man...

Certainly the patient's usual BP in this case is about #1 on the "relevance" scale. I would have (& have) done the following: After the initial order to give the scheduled narcotic, I would not have called for a second MD/NP/other order until I h...